Lead Care Manager (Finance)

Provides support to Care Managers and other clinical team members through content knowledge, technical and utilization management expertise. Researches open questions and unresolved issues for Care Managers who are providing direct utilization management services. Mentors new Care Managers and assists with training.

• Provides point of need support and coaching to Care Managers and other clinical team members in the course of normal operations.
• Builds clinical team members expertise through direct feedback and real-time coaching.
• Provides clinical, procedural or interpretational assistance.
• Mentors and trains Care Managers.
• Serves as a `buddy` to new Care Managers during their first few months on the job by providing daily support and feedback.
• Researches and resolves escalated issues that frontline Care Managers cannot resolve in a timely fashion.
• Takes escalated calls or fills-in for the Care Manager team during high-peak periods.
• Works with the workforce planning team to perform data collection and analysis of trends to determine problem areas and strategies for better practices for the Care Manager team.
• Maintains an active workload in accordance with Care Manager performance standards.
• Provides frontline functions during high volume and peak periods.
• Advocates for the patient to ensure treatment needs are met.
• Interacts with providers in a professional, respectful manner that facilitates the treatment process.

Other Job Requirements

Responsibilities
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
Minimumof 7years' post-degree experience in psychiatric and substance abuse health care.
Minimum of3 years post degree experience for Care Managers with Ph.D. Experience to include utilization review.
Licensure may also include one or more of the following: CEAP, LMSW, LCSW or LPC. CEAP certification as required by management.
Strong organization, time management and communication skills.
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge and experience in inpatient setting.
Knowledge of DSM V or most current diagnostic edition.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title
Lead Care Manager

Grade
26

Work Experience - Required
Clinical

Work Experience - Preferred

Education - Required
Associate - Nursing, Master's - Behavioral Health, Master's - Counseling, Master's - Social Work

Education - Preferred

License and Certifications - Required
CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt

License and Certifications - Preferred

Salary Range

Salary Minimum:
$70,715
Salary Maximum:
$113,145

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.